Individual
RICHARD D GADOMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 HOSPITAL DR, SANTA FE, NM 87505-4769
(505) 660-0743
Mailing address
PO BOX 11, TESUQUE, NM 87574-0011
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD2019-0803
NM
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD2019-0803
NM
2084P0800X
Psychiatry Physician
Primary
MD2019-0803
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS2018-0349
NM MEDICAL BOARD
NM
Enumeration date
03/26/2015
Last updated
05/31/2024
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